Provider Demographics
NPI:1619535382
Name:SUGARMDS, LLC
Entity Type:Organization
Organization Name:SUGARMDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMET
Authorized Official - Middle Name:BAHADIR
Authorized Official - Last Name:ERGIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-462-5053
Mailing Address - Street 1:7750 OKEECHOBEE BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2106
Mailing Address - Country:US
Mailing Address - Phone:561-462-5053
Mailing Address - Fax:561-287-7734
Practice Address - Street 1:550 HERITAGE DR STE 202
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3030
Practice Address - Country:US
Practice Address - Phone:561-462-5053
Practice Address - Fax:561-287-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty